| NPI | 1124677729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LYNN BETTS President, Authorized Official 719-582-1898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2020-04-30 |